Wright Dermatology and Diagnostics, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2000-129 Issued in NM

Legal business name

WRIGHT DERMATOLOGY AND DIAGNOSTICS, PC

Practice address

1850 Old Pecos TRL
Ste J
Santa Fe, NM 87505-4760

Phone

(505) 988-5120

Fax

(505) 982-1812

NPI assigned

Feb 22, 2011

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenna Vigil

Title

Billing & Reception

Phone

(505) 988-5120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Busch, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Santa Fe, NM
  • NPI 1346201704
  NPD (past)
• Thomas Matthew Holmes, M.D.

  • Pediatric Dermatology Physician
  • Santa Fe, NM
  • NPI 1003844259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1568769933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 OLD PECOS TRL",
            "address_2": "STE J",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054760",
            "telephone_number": "505-988-5120",
            "fax_number": "505-982-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD PECOS TRL",
            "address_2": "STE J",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054760",
            "telephone_number": "505-988-5120",
            "fax_number": "505-982-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT DERMATOLOGY AND DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "BILLING & RECEPTION",
        "authorized_official_telephone_number": "505-988-5120"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "2000-129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11157598",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2000-129",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine A. Worth, M.S.
• Adriana Vega Wostal, DPT
• Tamara Wostal
• Wound Care Associates LLC
• Woven Wellness
• C Susan Wright, PT
• Cori Alison Wright, MS, LMHC, SEP
• Ladonna Wright
• Mel Wright
• Rebecca M. Wright, MA LPCC

• Dermatology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.